16D0705785 CLIA NUMBER - BLACK HAWK COUNTY PUBLIC HEALTH

Laboratory Demographics

  • CLIA Code: 16D0705785
  • Facility Name: BLACK HAWK COUNTY PUBLIC HEALTH
  • Facility Address: 1407 INDEPENDENCE AVENUE
    WATERLOO, IA
    ZIP 50703
  • Facility Phone: 319 291-2413
  • Facility Type: Public Health Laboratories
  • Facility Type: Microscopy
  • Lab Director: DR. JANINE R. JOHNSON
  • NPI Number: 1730203407
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 16D0705785
LAB Type Public Health Laboratories
Facility Name BLACK HAWK COUNTY PUBLIC HEALTH
Street 1407 INDEPENDENCE AVENUE
City WATERLOO
State IA
ZIP 50703
Phone 319 291-2413
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Public Health Laboratories
Lab Director DR. JANINE R. JOHNSON

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This page was last updated on: 9/29/2025